| NPI | 1598958571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET M SAMANO Office Manager 386-428-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS8981) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-11-14 |