| NPI | 1194047647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCHELLE K HOLFEDLT President 772-581-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME82565) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |