| NPI | 1669127718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BALLEZZI Office Manager 727-471-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |