| 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 |