| NPI | 1295196459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBED SAINT-LOUIS CEO 772-663-2492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: FL ME 126938) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2018-09-05 |