| NPI | 1831632900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYLAN DINESH Owner 727-322-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208M00000X Hospitalist | |
| 207QS0010X Family Medicine, Sports Medicine | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2023-07-12 |