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 |