| NPI | 1548450455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SAULT Licensed Counselor 941-927-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME81631) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-10-15 |