| NPI | 1225401417 |
|---|---|
| Other Name | MDICE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BLAIR COO 239-337-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |