| NPI | 1639501372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FRIEDMAN Manager 727-851-9528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: FL OS5789) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL ME77670) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |