| NPI | 1962496273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEIED ALI SAFI Doctor 904-564-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0054100) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2008-06-18 |