| NPI | 1528552494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH C DALEY Owner 239-560-8733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME88922) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |