| NPI | 1174792048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T. WILLIAMS Managing Member 321-751-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS4050) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-10-24 |