| NPI | 1578661443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY D MCLEMORE Sr. Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2009-07-27 |