| NPI | 1851322341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIT YABROV Medical Director 941-484-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME 93717) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |