NPI | 1205115052 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN J DEONARINE Physician 772-562-9923 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0072762) |
Enumeration Date | 2011-08-11 |
Last Update Date | 2012-12-07 |