| NPI | 1437209855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA GERALD KILLAM President 239-333-0084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME36712) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-04-20 |