| NPI | 1275622995 |
|---|---|
| Doing Business As | SOUTHPOINT MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-11-26 |