| NPI | 1679848907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A SLOAN Group Administrator 941-349-6583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME39549) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-05-09 |