| NPI | 1942284849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM M ROSEN Owner 727-443-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2005-12-04 |
| Last Update Date | 2025-08-27 |