| NPI | 1598940561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK MALIBIRAN President/Owner 813-988-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS7689) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-07-03 |