| NPI | 1952336497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANATOLIY BELILOVSKIY Manager 941-400-9974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ANT9246237) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-05-18 |