| NPI | 1952304669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MARTIN SIXSMITH President/Practioner 727-327-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL POR168) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2007-12-21 |