| NPI | 1932281367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT V ANDERSON Owner/Physician 772-429-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS6082) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |