| NPI | 1710369020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NEWTON BASKIN Owner 813-763-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL me355305) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |