| NPI | 1871750216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP GREGORY DAVIS President 239-454-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME51086) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2010-01-06 |