| NPI | 1811202708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS SCHAFFER Practice Manager 772-388-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME81334) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS9600) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |