NPI | 1376876318 |
---|---|
Entity Type | Organization |
Authorized Contact | CHESTER D MILTENBERGER Owner/Doctor 407-322-5923 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME40263) |
Additional Taxonomies | 209800000X Legal Medicine (Licence: FL ME0040263) |
Enumeration Date | 2009-09-09 |
Last Update Date | 2010-08-23 |