| NPI | 1659602589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B MAGGIANO President 239-437-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 0S5431) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-06-10 |