| NPI | 1003330838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN A BERMAN Owner 941-926-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2024-04-11 |