| NPI | 1821401191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM GATZA Manager 727-449-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME 86204) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |