NPI | 1356631774 |
---|---|
Doing Business As | SOUTHPOINTE FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2011-04-19 |
Last Update Date | 2012-11-27 |