| NPI | 1811246481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICH A ARIAS Physician 321-549-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME 101986) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2019-02-26 |