| NPI | 1306147327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMAYUN SHAREEF Physician/Owner 772-465-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 05870) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2016-08-31 |