| NPI | 1396972931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LYNNE BRUNO President 239-218-9142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: FL ARNP 1631102) |
| Enumeration Date | 2009-06-21 |
| Last Update Date | 2009-06-21 |