| NPI | 1336537331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREAS GROSSGOLD Medical Director 727-330-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME113826) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |