| NPI | 1144633561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J CUTLER Owner 9417-477-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ME 68720) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |