| NPI | 1629029897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L. CORRIGAN CAO 727-532-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2015-06-16 |