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 |