| NPI | 1669862652 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PHYLLIS FRIEDRICH President 727-408-3232  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 207Q00000X Family Medicine | 
| Enumeration Date | 2015-01-28 | 
| Last Update Date | 2015-01-28 |