| NPI | 1770598252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEUREEN O DANIEL Solo Practitioner 321-662-3591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 0625558) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-06-06 |