NPI | 1376900464 |
---|---|
Entity Type | Organization |
Authorized Contact | SINAN GURSOY President 239-643-9977 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9105298) |
Enumeration Date | 2016-01-21 |
Last Update Date | 2016-01-21 |