| NPI | 1275797714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J HARRIS Owner 941-629-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2019-07-03 |