| NPI | 1619501749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RONDON CEO 813-785-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2026-10-14 |