| NPI | 1336333038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE EDWARD FELDMAN Owner 305-665-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0041585) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |