| NPI | 1790190098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH NONNEMAKER Practice Manager 941-746-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 72848) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2023-01-26 |