| NPI | 1609280403 |
|---|---|
| Doing Business As | SUITE 101 |
| Entity Type | Organization |
| Authorized Contact | MARISOL RODRIGUEZ Billing Manager 813-979-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |