NPI | 1427271345 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDY J MARCZUK Office Manager 321-259-5999 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME81535) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2010-04-22 |