| NPI | 1932581071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WOOD Manager 813-549-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |