| NPI | 1780938241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIAN JOSEPH PRESUTTI Owner/Operator 772-398-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME71579) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-28 |