| NPI | 1710178959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN J DEGIROLAMO Billing Manager 941-751-6583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME065379) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-11-16 |