| NPI | 1992979546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D YOUNG Owner 727-545-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL me0067443) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2014-08-18 |