| NPI | 1790793016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIDAL EL RIMAWI President 904-278-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME81222) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-11-06 |