| NPI | 1609310176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH MARTIN RUBIN Owner 941-347-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL os8591) |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2017-10-17 |