NPI 1821456492
Mmds Fl Idtf
Practice location
- Address
- 4707 Enterprise Ave Suite 7, Naples, FL 34104-7064
- Phone
- (423) 480-4087
- Mailing address
- 3011 Harrah Dr Suite L, Spring Hill, TN 37174-6252
Authorised official
- Name
- Amy Brookman
- Title
- Corporate Business Development
- Phone
- (423) 480-4087
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1821456492
- Entity type
- Organization
- NPI issued
- 10 Feb 2016
- Record last updated
- 10 Feb 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.