| NPI | 1700118007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MULLER President 727-726-1962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME0083573) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9101634) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2018-04-24 |