| NPI | 1366804932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLEMAN S PRATT Physician/Owner 941-725-5969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME94916) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |