| NPI | 1740575836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS BASSETTI Mgr 863-381-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME45746) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2018-04-13 |