| NPI | 1881940898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA M SHELBY Chief Nursing Officer 813-275-9100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |