| NPI | 1477266971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO J LOPEZ Owner/Physician 941-246-2482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2025-11-03 |