| NPI | 1992873319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SPENCE CFO 239-343-6014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207Q00000X Family Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 208000000X Pediatrics | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 208D00000X General Practice | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2021-11-12 |