| NPI | 1699704460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R COOK Owner 239-643-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME71724) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |