| NPI | 1629307400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB J FREIMAN President 561-624-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL ME102509) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |