| NPI | 1851309298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI CHARLENE FIELDING President 863-616-9017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0066256) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2011-02-07 |