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 |