| NPI | 1538401377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JOSEPH HOBAICA Managing Director 239-260-5891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 261QP2300X) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |