NPI | 1619275856 |
---|---|
Entity Type | Organization |
Authorized Contact | MARINA V KULICK President 727-940-3478 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: FL ME 103499) |
Enumeration Date | 2011-03-12 |
Last Update Date | 2011-03-12 |