| NPI | 1144372061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTHER R EVENHUIS President 239-262-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL 80066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 80066) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-12-10 |