| NPI | 1689965394 |
|---|---|
| Doing Business As | CARDIOLOGY CENTER AT SPARKS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2012-11-27 |