| NPI | 1306029301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE THORPE Administrative Director 941-739-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME62136) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |