| 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 |