| NPI | 1487097556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MCLIN Billing Manager 941-312-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME99661) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME100408) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2015-09-23 |