NPI | 1265834881 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA JEAN Family Medicine Physician 786-262-9007 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME114969) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2014-09-25 |