| NPI | 1376723171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN A WAHE CEO 239-643-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |