| NPI | 1881357580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES M SARDINAS CEO 239-333-9092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2023-06-15 |