NPI | 1124059753 |
---|---|
Entity Type | Organization |
Authorized Contact | MELVIN B PRICE President And CEO 941-776-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207R00000X Internal Medicine |
213E00000X Podiatrist | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
207Q00000X Family Medicine | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2023-11-27 |