| NPI | 1821822248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN K OLSON Owner/President 239-561-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology |
| 207RH0000X Internal Medicine Hematology | |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |