| NPI | 1740790633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN ARMERO Administrator 727-459-3235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME76182) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9302708) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |