| NPI | 1811135858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L BERKES Managing Owner 941-371-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME 25334) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-02-25 |