| NPI | 1336514850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MENDELLO Managing Member 239-450-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |