| NPI | 1720373228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOHANNESSEN President 727-793-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |