| NPI | 1730375254 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JEANNINE SHEREE DUNCAN Office Manager 727-572-0154  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS8297)  | 
| Enumeration Date | 2007-09-18 | 
| Last Update Date | 2008-10-29 |