| NPI | 1962701193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH H WINDOM Physician/Owner 941-927-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME62095) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2014-03-06 |