| NPI | 1669923306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA YABLONOWSKI Manager 239-596-9407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL hcc10737) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |