| NPI | 1316223688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA BAJRAMOVIC Physician Assistant 941-894-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: FL PA9106276) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-12-07 |