| NPI | 1689857435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL D BEDDER Physician 239-437-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME92411) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |