| NPI | 1720061278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY D MCLEMORE Senior Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 367A00000X Advanced Practice Midwife | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2009-10-28 |