NPI | 1992949051 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY J. FOLEY Physician CEO/ President 239-354-4413 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS7354) |
Enumeration Date | 2009-04-20 |
Last Update Date | 2009-04-20 |