| NPI | 1891974036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA A SEIBERT Owner / Physician 239-513-2489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0049608) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2014-03-04 |