| NPI | 1215547310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSMINA ILEANA POPA Physician 239-325-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2025-03-18 |