| NPI | 1558584565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE J. MASON Owner 941-923-5861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0079271) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME57727) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-09-18 |