| NPI | 1962510552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS FRIEDRICH COO 727-588-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2019-01-08 |