| NPI | 1386740033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM W RICHARDSON Owner/President 239-369-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS4428) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2015-01-28 |