| NPI | 1346801024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERDIE JEAN-SMITH Physician 941-276-8036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 315D00000X Hospice, Inpatient |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |