| NPI | 1063121408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANE CHERYL WILTSHIRE Director 239-224-3159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |