| NPI | 1770830630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A DEMETREE President 321-439-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL OF0003780) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |