| NPI | 1417276650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| 363L00000X Nurse Practitioner | |
| 208000000X Pediatrics | |
| 207R00000X Internal Medicine | |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2012-11-26 |