| NPI | 1700166758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA S MAULE President/Owner 941-684-0842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME94581) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-10-19 |