| NPI | 1700104528 |
|---|---|
| Other Name | EMAC |
| Entity Type | Organization |
| Authorized Contact | MARCIA ELIZABETH FOWLER Direct Owner 239-338-8069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL OS7238) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2011-08-12 |