| NPI | 1982780631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CHATFIELD Project Administrator 941-361-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL N51258) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |