NPI | 1336425065 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ANDREW MCCARRON Physician 772-569-7999 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL me80972) |
Enumeration Date | 2011-10-26 |
Last Update Date | 2011-10-26 |