NPI | 1811346802 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN HOSKINS Director, Medical Services 813-253-6250 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME122518) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2016-06-09 |