| NPI | 1902975477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERLA DEVEZA INACAY Physician 813-231-6204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME60315) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-01-02 |