| NPI | 1669667622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA M WAINWRIGHT Office Manager 727-525-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL OS6786) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-26 |