| NPI | 1114113537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A KRUMHOLZ Chief 941-927-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: FL me53670) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-05-01 |