| NPI | 1730473604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNEE MOISE Medical Director/ Owner 813-924-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME93843) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |