| NPI | 1952564726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DEAN IBRAHIM President 727-372-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME101502) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2019-04-03 |