| NPI | 1649093097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLINS EZEUKA CEO, Cmo, Founder 941-208-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261Q00000X Clinic/Center | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |