| NPI | 1255396016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIOT W. GODOFSKY Owner 941-746-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-22 |