| NPI | 1376784470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEF S KLEINE President 863-299-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0053582) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |