| NPI | 1144521642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA AGABANI Office Manager 941-330-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME75756) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |