| NPI | 1346467784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JAY WASSERMAN President 941-484-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: FL ME36514) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-10-30 |