| NPI | 1588716518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA V VARNEY Physician Owner 941-350-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME91816) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-08-11 |