NPI | 1154492890 |
---|---|
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 | 122300000X Dentist |
Enumeration Date | 2006-11-13 |
Last Update Date | 2024-03-08 |