| NPI | 1043458151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G. JACKSON Operations Manager 941-907-9053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0203X Clinic/Center, Oncology, Radiation |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |