| NPI | 1467860106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MORGAN Credentialing COO Rdinator 941-953-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-29 |