| NPI | 1174719579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M BEHAN Doctor 727-868-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0064690) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-08-18 |