| NPI | 1285933382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALBERT DUNDR President 305-877-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME107505) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-04-22 |