| NPI | 1972565919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COLLIER Managing Partner 239-931-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME53617) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2016-08-31 |