| NPI | 1588968721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY PULLIAS Owner 941-748-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL 37875) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |