| NPI | 1699927616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M PREBECK VP Of Operations 727-581-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 208600000X Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 207K00000X Allergy & Immunology | |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2020-11-25 |