| NPI | 1952484412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE R TONNER Managing Member 772-299-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-10-18 |