| NPI | 1710169248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD THOMAS NEEDHAM Owner 727-441-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL OS7262) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-01-25 |