| NPI | 1356435176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK M LUTON Chief Executive Officer 772-567-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-11-10 |