| NPI | 1730638842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS KOVACS Chief Medical Officer 239-931-0907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology Addiction Medicine (Licence: FL OS1417) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |