NPI | 1144427071 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA ROSE LEWIN President 352-671-8030 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME 0036262) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2007-08-21 |