| NPI | 1891171617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN B PRICE President And CEO 941-776-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2024-03-08 |