| NPI | 1447619887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MARGARET MAGNO MOURACADE Principal 239-222-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME64887) |
| Enumeration Date | 2016-02-13 |
| Last Update Date | 2024-03-12 |