| NPI | 1033460001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIBET MATHEW PLACHERIL Owner 941-795-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME63167) |
| Enumeration Date | 2012-09-30 |
| Last Update Date | 2018-04-20 |