NPI | 1114178340 |
---|---|
Entity Type | Organization |
Authorized Contact | DEAN LAWRENCE RACKLEFF President 239-455-9946 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME0069187) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2009-09-23 |