| NPI | 1063526143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA CANALAKES Office Manager 941-748-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0043006) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2011-11-10 |