| NPI | 1942239512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STOPLER Practice Administrator 727-816-9427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME58035) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |