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 |