| NPI | 1386782175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN-FELERT CADET Medical Director 386-719-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL Me070974) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |