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 |