| NPI | 1801169172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH B JOSEPH President 941-473-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 111N00000X Chiropractor (Licence: FL CH8839) | |
| 363A00000X Physician Assistant | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2014-07-09 |