NPI | 1699104620 |
---|---|
Entity Type | Organization |
Authorized Contact | MITCHEL P. FEARING Dr./Owner 386-462-1327 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME51798) |
Enumeration Date | 2013-11-12 |
Last Update Date | 2013-11-12 |