| NPI | 1447691878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNISS BASSETTI Director 863-381-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME 45746) |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2018-04-13 |