| NPI | 1942235551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KING Administrative Assistant 727-767-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |