| NPI | 1982410395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CARLEN Contracting Staff 727-270-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |