NPI | 1730397555 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN LAVENTURE RENELIEN Owner 561-414-6248 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME86189) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2022-11-11 |