| NPI | 1376795401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WEAVER Managing Partner 239-289-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME87906) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2009-04-01 |