| NPI | 1770839466 |
|---|---|
| Doing Business As | RENAISSANCE PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-11-27 |