NPI | 1891016531 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN WOODWARD HOOVER President 305-979-3994 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME93934) |
Enumeration Date | 2010-06-16 |
Last Update Date | 2010-06-16 |