| NPI | 1578678215 |
|---|---|
| Doing Business As | PRIMARY CARE SPECIALIST OF ENGLEWOOD |
| Entity Type | Organization |
| Authorized Contact | LYNETTE M LLEREWA Director 941-474-9581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |