| NPI | 1750769923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN E ANGSTEN President 941-351-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: FL ME78845) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-06-15 |