| NPI | 1144484502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SPETSIOS Administrator 941-917-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2023-05-09 |