| NPI | 1821285826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADEN MARZOUK President 239-931-7254 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2025-01-31 |