| NPI | 1740397686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN A ZELINKA President 772-465-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0052169) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS6842) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-09-10 |