| NPI | 1316963077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC STEPHEN KALLINS President 941-750-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME13523) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME40567) |
| 103G00000X Clinical Neuropsychologist (Licence: FL PY6258) | |
| 207R00000X Internal Medicine (Licence: FL ME44610) | |
| 207X00000X Orthopaedic Surgery (Licence: FL ME74784) | |
| 207T00000X Neurological Surgery (Licence: FL ME68033) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME64188) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME72170) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME11749) | |
| 207P00000X Emergency Medicine (Licence: FL ME34789) | |
| 225100000X Physical Therapist (Licence: FL PT18064) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2010-07-16 |