| NPI | 1245596964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIVAKUMAR RAMAN Medical Director 239-245-8223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME100391) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2016-04-13 |