NPI | 1215963335 |
---|---|
Entity Type | Organization |
Authorized Contact | MELVIN B PRICE President And CEO 941-776-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 122300000X Dentist |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
332900000X Non-Pharmacy Dispensing Site | |
Enumeration Date | 2006-06-23 |
Last Update Date | 2023-11-27 |