| NPI | 1134399074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON P BURDZY President 239-275-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS 7953) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |