NPI | 1326309949 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA H STONER Practice Manager 239-304-9071 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 225100000X Physical Therapist |
225700000X Massage Therapist | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2012-05-30 |
Last Update Date | 2012-05-31 |