| NPI | 1336411560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARSHAD MAHAR Medical Director 941-706-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME110213) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2013-05-07 |