| NPI | 1578345625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD TABAIE CEO 941-720-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |