| NPI | 1679724488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY INZENA President/CEO 813-636-2044 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2017-01-06 |