| NPI | 1780950212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONCIO TACSA CARRASCO Physician 727-894-6703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME72300) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |