| NPI | 1902094337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURITA P BIGLETE Office Manager 407-342-6087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0023356) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2008-02-10 |