| NPI | 1730243841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY A LEWERENZ-WALSH Physician/Owner/President 941-748-8069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS4817) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-09-29 |