| NPI | 1063787331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUI LIN O'CONNOR Office Manager 386-673-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME60233) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2013-03-27 |