| NPI | 1740301456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOSSAM M. HASSANEIN President 772-323-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME68679) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-09-27 |