| NPI | 1538154497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A CASANOVA President 941-883-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2011-06-06 |