| NPI | 1578854378 |
|---|---|
| Doing Business As | SPARKS PREFERRED CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2012-11-27 |