| NPI | 1750684361 |
|---|---|
| Other Name | FM LOCATION |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN LEACH Director, Credentialing 239-449-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2024-02-15 |