| NPI | 1265925135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA SUZANNE FABIANI Owner 941-922-4264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME105776) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |