| NPI | 1972254332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LEE Director Credentialing 941-380-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-03-03 |