| NPI | 1174753024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 208000000X Pediatrics | |
| 363L00000X Nurse Practitioner | |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2012-11-26 |