| NPI | 1396166252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANETTE EMILCARE President 772-252-4872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 208D00000X General Practice (Licence: FL P13000065004) | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2023-04-06 |