| NPI | 1821241829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY L KILGORE Office Manager 813-968-7830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0047321) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |