NPI | 1194323717 |
---|---|
Doing Business As | HEALTH AND WELLNESS LAND O'LAKES |
Entity Type | Organization |
Authorized Contact | MELVIN B PRICE President & CEO 941-776-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2020-10-15 |
Last Update Date | 2023-11-27 |