| NPI | 1881746535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD R BERMUDEZ Owner/Operator 941-917-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0060562) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-01-24 |