| NPI | 1962850370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA J LAMBERT Manager 813-541-4831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ AP3397) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |