| NPI | 1487712246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KURAS Practice Manager 239-573-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME56832) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-09-11 |