| NPI | 1811947302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY R BACHLE Physician 941-764-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: FL OS6291) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-04-15 |