| NPI | 1912672171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA MERRITT Senior Manager, Credentialing 813-596-5726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2024-01-17 |