| NPI | 1013174150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA SEWELL Physician/Owner 239-699-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS0007062) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-08-13 |