| NPI | 1952972614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA GORKEN VP, PFS 727-281-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2021-07-05 |