| NPI | 1184614851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN CHARLES ALDRICH Owner 941-359-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2022-04-29 |