| NPI | 1336459379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUNCHERIA JOSEPH President/Sole Owner/Physician 941-485-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: FL ME31818) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |