| NPI | 1144338302 |
|---|---|
| Doing Business As | J BERTRAND DAVIS MD FACS |
| Entity Type | Organization |
| Authorized Contact | JOHN BERTRAND DAVIS CEO/Pres 239-481-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 0039739) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2012-05-15 |