| NPI | 1619976834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN C CRONIN COO 727-734-2779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |