| NPI | 1982381299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE DELATORRE CEO 813-780-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2024-05-15 |