| NPI | 1265750400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJEE PAUL Manging Member 321-452-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME95111) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME95111) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |