| NPI | 1962589671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULES ALVA PREUDHOMME President 239-945-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME72077) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-12-02 |