NPI | 1548791676 |
---|---|
Entity Type | Organization |
Authorized Contact | DERIK K KING President 239-939-1717 |
Organization Subpart ? | No |
Primary Taxonomy | 208M00000X Hospitalist |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363A00000X Physician Assistant | |
Enumeration Date | 2017-03-21 |
Last Update Date | 2020-01-02 |