| NPI | 1831408798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSEY BOOHOFF Managing Director 813-957-0623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS 11040) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |