| NPI | 1003969437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK E CALDERON Owner 941-907-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME77684) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2011-12-01 |