| NPI | 1760999361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VENZOR Physician 813-997-2099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS11690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME117996) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2022-03-23 |