| NPI | 1770198723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BRISCH VP Of Finance 813-536-7281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |