| NPI | 1336313758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK OLIVARES ASPERILLA President Owner 941-624-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME0052172) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |