| NPI | 1487665642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WERTHER R. MARCIALES President 941-752-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-08-06 |