| NPI | 1124297858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALDEN HALL Owner / Physician 239-275-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 111NR0400X) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |