| NPI | 1164771069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J WILLIAMITIS President 239-947-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0049884) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2020-12-09 |