| NPI | 1659517076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARELIS M MADERA President 941-235-0542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME74893) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |