| NPI | 1679050603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EARL COLLINS Ownder / Doctor 239-595-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207T00000X Neurological Surgery (Licence: FL OS9899) | |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9102277) | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |