| NPI | 1770717381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJID WAZIR President 239-591-5979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME 103428) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2018-02-16 |