| NPI | 1578660551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GERALD CAREY Owner Physician 321-632-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0043892) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |