| NPI | 1346497443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGID OGDEN President 239-594-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OPC3928) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |