| NPI | 1326465410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER PRESHA CEO 941-776-4008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |