| NPI | 1790137982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZO PIPOVSKI Medical Director 941-702-5972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2017-04-21 |