| NPI | 1982644464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. LUPO President 941-342-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME77141) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-12-10 |