| NPI | 1114103058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN DEAN Owner/Physician 772-584-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME98123) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2012-11-14 |