| NPI | 1720258429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN M ROCHE Billing Manager 813-931-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME50511) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2012-01-31 |