| NPI | 1982712667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY STEWART Credentialing Coordinator 727-456-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |