| NPI | 1366837478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIHINI DALZELL President 941-758-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL OS11114) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS11114) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-09-02 |