| NPI | 1932492295 |
|---|---|
| Doing Business As | SPARKS OCCUPATIONAL MEDICINE NORTH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2012-11-27 |