NPI | 1225443195 |
---|---|
Doing Business As | DONALD J WILLEMS, DO |
Entity Type | Organization |
Authorized Contact | DONALD J WILLEMS Owner 954-260-2363 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL OS10400) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2014-06-30 |