| NPI | 1457050106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MARONE Director Of Operations 941-626-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-05-31 |