| NPI | 1619017647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A OLIVER President 305-999-0247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME74933) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME93886) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-07-21 |