| NPI | 1508316936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MYERS Owner, Attending Doctor 941-228-1857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: UT 10036075-1201) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |