| NPI | 1033570809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH HAMILTON RUSCO Doctor 941-488-8862 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 0s0002193) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |