| NPI | 1922824937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAPTISTE STEVEN MARINO Owner/Md 980-262-3007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2025-05-30 |