| NPI | 1487913133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASAD MOIZ ALI Medical Doctor/Owner 941-752-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0071369) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-12-21 |