NPI | 1992757306 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Y00000X Otolaryngology |
208600000X Surgery | |
207V00000X Obstetrics & Gynecology | |
207Q00000X Family Medicine | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2012-11-26 |