| NPI | 1710381223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEETENDRA K ISSAR Medical Doctor 863-858-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: FL ME86343) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-16 |