| NPI | 1518908813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MICHAEL MARINO President 321-728-7651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 1218162) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |