| NPI | 1225062821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JOSEPH MORRIS President 772-299-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL M364375) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |