| NPI | 1487899217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M CLIFFORD Billing Manager 239-325-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME82353) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2009-01-15 |