NPI | 1578853909 |
---|---|
Doing Business As | SPARKS OCCUPATIONAL MEDICINE SOUTH |
Entity Type | Organization |
Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
Enumeration Date | 2011-04-19 |
Last Update Date | 2012-11-27 |