| NPI | 1740393073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN B PRICE President And CEO 941-776-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207N00000X Dermatology |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2024-03-08 |