| NPI | 1043931439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK KING Owner 239-573-7988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2023-10-02 |