| 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 |