| NPI | 1700834033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY FRIEDLANDER Medical Director 813-932-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME43369) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |