| NPI | 1659672236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY DIWADKAR Medical Director 813-237-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME39294) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-12-01 |