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 |