| NPI | 1942883392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANE CHERYL WILTSHIRE Associate Director Credentialing 239-224-3159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RH0000X Internal Medicine, Hematology | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |