| NPI | 1275788747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DELBOCCIO President 239-333-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL dn14008) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |