| NPI | 1811489180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J GOODWIN Owner 239-692-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS11292) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: FL OS11292) |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2018-06-03 |