| NPI | 1336353135 |
|---|---|
| Doing Business As | INTERNAL MEDICINE AND GENERAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JOHN JUSTIN GREEN President 239-332-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS 8155) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2009-01-06 |