NPI | 1962573295 |
---|---|
Doing Business As | COLLIER BOULEVARD MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | VERA M ROBERT Owner Physician 239-455-9919 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-11-10 |
Last Update Date | 2010-11-17 |