| NPI | 1104259035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY K BUTLER Medical Director 239-936-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS002373) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2023-06-19 |