| NPI | 1205128667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MARK GROSSMAN President 772-299-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME64361) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |