| NPI | 1922416643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE ELIZABETH NAEGER Office Manager 239-561-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME061324) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |