| NPI | 1649026428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS RODANTE President 727-415-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |