NPI | 1215070776 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN B STERNBERG CEO President 239-597-5530 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL PENDING) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2008-10-17 |