| NPI | 1245445196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 2083X0100X Preventive Medicine Occupational Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208600000X Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-11-26 |