NPI | 1962825794 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY C YANKASKAS Managing Physician 239-275-5522 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2014-01-30 |
Last Update Date | 2020-08-25 |