| NPI | 1063717809 |
|---|---|
| Doing Business As | NORTH COUNTY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2012-11-27 |