| NPI | 1265929723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN K OLSON Owner/President 239-561-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 2086X0206X Surgery, Surgical Oncology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207RH0000X Internal Medicine, Hematology | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-03-06 |