| NPI | 1518082262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA O WOODWARD President 239-254-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2021-07-02 |