| NPI | 1770853665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HOEPNER Owner/Manager 813-677-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: FL 71781) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-13 |