| NPI | 1932523040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DARRELL BUCHANAN Doctor/Owner 239-362-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL CH9348) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |