| NPI | 1538279930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN SCAPPA Managing Official 239-689-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL OS 6048) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |