| NPI | 1770674731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J CARTHY President 813-932-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL 048964) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |