| NPI | 1659716975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A LAMPE Owner 239-245-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME100125) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL ME100125) |
| 111N00000X Chiropractor | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2014-05-07 |