| NPI | 1528118726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J SHAMSEY President Owner 941-366-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME22185) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME34530) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME57672) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME80960) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-06-04 |