| NPI | 1811981178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S GROVE President 727-588-9572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS6098) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH5247) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2013-01-24 |