| NPI | 1568002459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA N SALGADO Office Manager 941-744-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2022-05-11 |