| NPI | 1518315860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO GASPARD Medical Director 941-755-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ACN472) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |