| 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 |