| NPI | 1831142447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208M00000X Hospitalist | |
| 208800000X Urology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-11-26 |