| NPI | 1679826408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE LELAND Owner/Manager 813-395-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME66200) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |