| NPI | 1376142901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATANT LAURENT CEO President 239-209-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2020-10-24 |