| NPI | 1902047574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE GELINAS Managing Partner 239-784-9215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME91179) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |