| NPI | 1689905119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK B LANE Provider /Owner 813-872-0702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: FL ME12971) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-05-28 |