| NPI | 1598083719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL GLENTON Office Manager/Billing 772-794-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: FL ME44475) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |