| NPI | 1265573018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDREW PFEILSTICKER Owner 941-747-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME46226) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-04-08 |