| NPI | 1891083754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS D ROSENFIELD Manager 941-629-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME-0032994) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2023-03-10 |