| 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 | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RR0500X Internal Medicine Rheumatology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2016-08-31 |