| NPI | 1659918381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL BUCCIARELLI VP, Legal Services 813-871-8075 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 251B00000X Case Management |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2025-08-01 |