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 |