| NPI | 1285383042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITA MONIZE Operations Manager 941-586-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2023-09-25 |