| NPI | 1770874141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLETA ANNA KITLAS Owner/President 941-792-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME 106492) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |