NPI | 1386887479 |
---|---|
Doing Business As | CARE PLUS AT THE RESERVOIR |
Entity Type | Organization |
Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2009-04-20 |
Last Update Date | 2012-11-27 |