| NPI | 1588850366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MACGUIRE PREWITT Director 239-262-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2012-10-17 |