| NPI | 1861734824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHIATH KASHLAN Owner/Provider/CEO 813-792-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME106343) |
| Enumeration Date | 2013-03-17 |
| Last Update Date | 2013-03-25 |