| NPI | 1972897734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M POPPER Owner 941-625-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME46549) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2014-12-02 |