| NPI | 1780655647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE MILTON PETTY President/Physician 813-650-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME0068819) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME0068819) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2013-05-10 |