| NPI | 1760730212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MONTANARO Mgr 941-748-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS9181) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0067842) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2015-10-06 |