| NPI | 1639351570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRE A. GASTON President 239-337-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME41852) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL ch8566) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |