| NPI | 1538507066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX JOSEPH CEO 239-466-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |