| NPI | 1962653394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JOSEPH SHIELDS Physician 727-466-6564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME53720) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |