| NPI | 1730423963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH BISHOP A RN P 941-539-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL RN9216861) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |