| NPI | 1992366421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE ANN WARD President 941-539-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZA2600X Specialist/Technologist, Other, Art, Medical |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |