| NPI | 1770974487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ELLIS SUMNER Physician 727-381-5432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 0049170) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |