NPI | 1487759809 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT RAYMOND LASTOMIRSKY Owner/Operator 941-484-8414 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0032829) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2007-12-04 |