| NPI | 1780905117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER D OLENEK President 772-559-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS8113) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |