NPI | 1235268467 |
---|---|
Doing Business As | WOUND HEALING CENTER OF BONITA |
Entity Type | Organization |
Authorized Contact | MATTHEW P. POWERS President 239-495-4995 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL FL 46550) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2008-04-20 |