| NPI | 1114336740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL NURIEL CEO 941-870-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL OS7691) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2015-06-24 |