| NPI | 1700066834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLITA KLEMENTAVICIENE Owner 850-934-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME77898) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-09-10 |