| NPI | 1326164252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JOY LUNDGREN Office Manager 941-629-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-09-17 |