| NPI | 1548504293 |
|---|---|
| Doing Business As | TRI-LAKES FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-26 |