| NPI | 1770727646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIFAT SARWAR Physician 863-687-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME0048897) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: FL 593454137) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |