| NPI | 1962643841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TULAY DARSTEK President 239-514-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME95721) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2010-12-16 |