| NPI | 1689839573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A SMITH President 239-772-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS4407) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH5040) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2012-04-11 |