| NPI | 1407937873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIBA GHAZIZADEH President 239-455-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2010-06-03 |