| NPI | 1407080773 |
|---|---|
| Other Name | CORPORATION |
| Entity Type | Organization |
| Authorized Contact | MICHELE F LIBMAN Pres/Owner 772-419-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0081297) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |