| NPI | 1003826736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CATHERINE BERGER Office Manager 321-676-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: FL MM14612) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |