| NPI | 1437599438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLAN ABU AOUF Manager Member 239-244-1091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9105138) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |