| NPI | 1720310345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP RASULO Officer 941-746-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME37155) |
| Enumeration Date | 2010-02-07 |
| Last Update Date | 2010-02-07 |