| NPI | 1760883276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MORTON Corporate Compliance Officer 239-643-9168 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-25 |