| NPI | 1982890158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L LEWIS Office Manager 941-744-1336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS7555) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2018-02-27 |