| NPI | 1568541837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY STONIS Office Manager 941-625-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME53389) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-16 |