| NPI | 1770532921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY KEVIN SPORN President 239-403-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME 61415) |
| Enumeration Date | 2006-05-07 |
| Last Update Date | 2020-08-22 |