| NPI | 1588902415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEHA N DOSHI Owner 321-285-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0075193) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2023-10-26 |