| 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 |