| NPI | 1508262973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIETTA CECCARELLI Owner 941-366-6968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL CH8404) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2017-11-14 |