| NPI | 1144402876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN S CARLSON President 941-351-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 2398) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |