| NPI | 1386902831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG M DUNN Owner 941-925-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL 53001) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-04 |