NPI | 1417649658 |
---|---|
Entity Type | Organization |
Authorized Contact | MELVIN B PRICE President/CEO 941-776-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 174400000X Specialist |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208600000X Surgery | |
213E00000X Podiatrist | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
Enumeration Date | 2023-05-25 |
Last Update Date | 2023-11-27 |