| NPI | 1154612000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA BARBERAN Office Manager 305-751-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ME15507) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |