| NPI | 1417159930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R ANTHONY Office Manager 772-581-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME85235) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-01-22 |