NPI | 1932524386 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA MCNAMARA Executive Vice President 239-597-2010 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
Enumeration Date | 2014-02-21 |
Last Update Date | 2023-03-01 |