| NPI | 1629514070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA A GORKEN VP, PFS 813-852-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2023-12-07 |