| NPI | 1073940151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MICHAEL ADELBERG Owner/President 772-692-8082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME68270) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |