| NPI | 1255437745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNA MINER Office Manager 239-415-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2024-08-07 |