| NPI | 1861849887 |
|---|---|
| Doing Business As | BREATH OF LIFE PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | GLENDA PEARSON Executive Director 727-216-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-10-12 |