| NPI | 1780905224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL PUTNAM Office Manager 813-870-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0031296) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0031296) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |