| NPI | 1467140228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSELL LLORENTE Director Of Credentialing 239-223-8129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-09-19 |