| NPI | 1003033465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP W DEVOE Owner 321-951-2709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME0027668) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-10 |