| NPI | 1669767331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBUSTIANO J BARRERA Medical Director 941-916-2168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D14865) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-11-23 |