| NPI | 1619244589 |
|---|---|
| Doing Business As | TRANSFORMATION AT RIVER OAKS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2012-11-27 |