NPI | 1497915524 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY WOROBEY Billing Manager 772-403-5860 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0050565) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME98874) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2008-06-12 |