NPI | 1316187214 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES E. MCCLOUD President/CEO 941-321-3081 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
261QC1500X Clinic/Center, Community Health | |
261QD0000X Clinic/Center, Dental | |
261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
261QH0100X Clinic/Center, Health Services | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QP2000X Clinic/Center, Physical Therapy | |
261QP2300X Clinic/Center, Primary Care | |
261QR0200X Clinic/Center, Radiology | |
261QR0206X Clinic/Center, Radiology, Mammography | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2009-03-05 |
Last Update Date | 2009-09-15 |