| NPI | 1629835814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN OLSON Owner / President 239-318-9284 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |