| NPI | 1417157538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN COFFER BARTOW Office Administrator 239-437-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL me0069766) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |