| NPI | 1114220845 |
|---|---|
| Other Name | PHYSICIANS REGIONAL LOCATION |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN LEACH Director, Credentialing 239-449-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2024-02-15 |