NPI | 1831408798 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEKSEY BOOHOFF Managing Director 813-957-0623 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS 11040) |
Enumeration Date | 2010-09-27 |
Last Update Date | 2010-09-27 |