| NPI | 1427358035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOSEPH PHAM President 239-275-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL OS9899) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |