| NPI | 1750390688 |
|---|---|
| Former Legal Business Name | PMC PLANTATION LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J CAVANAUGH Medical Doctor 954-474-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: FL MC 39723) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-09-26 |