| NPI | 1972676773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARGARET CHLEBINA President 941-486-0590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL PT12818) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2021-07-01 |