| NPI | 1447516844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI L SALVAGGIO Owner 239-433-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL MM27525) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |