| NPI | 1902461692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A BRONNER Medical Director 727-433-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |