| NPI | 1417374331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER L PRESHA CEO 941-776-4008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 152W00000X Optometrist | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |