| NPI | 1326336959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLA SCACCIA CEO 386-871-0675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: NY 241739) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |