| NPI | 1528148673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARELD RAY MORRIS President/Physician 239-418-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS6547) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-10-14 |