| NPI | 1770855405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH KANESKI Directo Of Finance 772-223-7803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-07-11 |