| NPI | 1982369062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEY ANCHETA President 813-767-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2022-01-27 |