| NPI | 1225180805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME CRAFT Owner President 561-626-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0010445) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |