| NPI | 1972502557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID WARTMAN President 813-654-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 127604) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-12-12 |