| NPI | 1205054467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J MCEWEN Office Manager 941-366-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME74975) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |