| NPI | 1881940914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA QUINONES Administrator 813-972-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME101151) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2023-01-24 |