| NPI | 1275937161 |
|---|---|
| Doing Business As | MARK LONSTEIN, MD |
| Entity Type | Organization |
| Authorized Contact | MARK LONSTEIN Owner 941-917-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME53529) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2018-12-17 |