| NPI | 1861574634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE PAUL LINKOUS President 727-330-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL pa9101571) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-06-21 |