| 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 | 207RH0000X Internal Medicine Hematology |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine | |
| 207RX0202X Internal Medicine Medical Oncology | |
| 207U00000X Nuclear Medicine | |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
| 2085B0100X Radiology Body Imaging | |
| 2085R0001X Radiology Radiation Oncology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2086X0206X Surgery Surgical Oncology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2025-08-05 |