| NPI | 1003184508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NOLAN SWEENEY Owner/Managing Agent 321-631-0392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS6941) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |