NPI | 1548457427 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH D HENSON Physician Owner 941-929-1039 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME 58636) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2009-01-14 |