| NPI | 1235783408 |
|---|---|
| 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 | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2023-11-27 |