| NPI | 1710295514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA F. GARCIA-KING Administrator 772-324-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME74075) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |