NPI | 1235844762 |
---|---|
Entity Type | Organization |
Authorized Contact | YOEL PRINCE Medical Director 239-361-2046 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2023-01-19 |
Last Update Date | 2025-05-19 |