| NPI | 1750589487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ANTOINETTE CANDELORE President 239-823-7829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS 8236) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-08-15 |