| NPI | 1033455910 |
|---|---|
| Doing Business As | ISLAND DOCTOR |
| Entity Type | Organization |
| Authorized Contact | CIRO KIRK DEMARTINO Owner 239-642-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME85819) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2013-01-07 |