NPI | 1518114727 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE GARETT MORROW President, Vice President, Treasure 786-282-2212 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 0S06289) |
Enumeration Date | 2008-08-20 |
Last Update Date | 2008-08-20 |