| NPI | 1982118899 |
|---|---|
| Other Name | SARASOTA |
| Entity Type | Organization |
| Authorized Contact | WENDIE NONCLERC D Irector Of Insurance 813-228-6334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |