| NPI | 1699789743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DOUGLAS LOEW President/Owner 772-288-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: FL OS5429) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2010-08-03 |