| NPI | 1174588255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A. CONRAD Staff Physician 239-274-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2010-05-24 |