| NPI | 1457316275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY J CRAWFORD Office Manager 239-772-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2012-04-11 |