| NPI | 1629487558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E DAVIS Owner 239-738-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |