| NPI | 1770505810 |
|---|---|
| Doing Business As | COMMUNITY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LAURA J DELERUYELLE Nurse Practitioner 941-748-8922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: FL 800011251) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |