| NPI | 1083928170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER NOLAND DANZIGER Doctor/President 941-761-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME58560) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |