| NPI | 1053557124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARIAN YARRIS-EWERT Physician/Owner 239-274-2071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 0064852) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2009-01-07 |