NPI | 1891943726 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT DIFRONZO Pvst 239-481-5252 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME57429) |
Enumeration Date | 2008-09-04 |
Last Update Date | 2009-02-26 |