| NPI | 1306247168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WELCH Manager 941-929-1039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME58636) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |