| 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 |