| NPI | 1235214560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER S YUVIENCO Owner 239-574-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME48350) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-09-14 |