| NPI | 1659567071 |
|---|---|
| Doing Business As | INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | FLORENDA L. FORTNER M.D. 727-841-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME86987) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2023-03-02 |