| NPI | 1821031683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A SLATTERY Owner/CEO 321-264-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME0051997) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2014-10-22 |