NPI | 1144692674 |
---|---|
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 | 207Q00000X Family Medicine |
Enumeration Date | 2015-10-23 |
Last Update Date | 2024-03-08 |