| NPI | 1366556698 |
|---|---|
| Doing Business As | FIRST PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | ILENE GILBERT COO 941-917-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 2084P0805X | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-04-30 |