| NPI | 1124217328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCHELLE KAY HOFELDT Owner, Sole Entity 772-581-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME82565) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2008-11-18 |