| NPI | 1700188414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRICK BENTON KANTZLER President 772-562-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |