| NPI | 1568706943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ROHMER SOUTHMAYD Manager 239-404-3289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 72817) |
| Enumeration Date | 2012-11-25 |
| Last Update Date | 2012-11-25 |