| NPI | 1114940178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY D MCLEMORE Sr. Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-06-25 |