NPI | 1932469566 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA TRENT Registered Agent 727-857-5967 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine |
Enumeration Date | 2012-05-16 |
Last Update Date | 2021-04-01 |