| NPI | 1396307062 |
|---|---|
| Doing Business As | COCONUT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | GREGORY M ROMANUIK President, Authorized Official 239-237-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2020-02-04 |