NPI | 1376055418 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY D. KAMLET Owner 305-604-9595 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0054330) |
Enumeration Date | 2017-10-30 |
Last Update Date | 2017-10-30 |