NPI | 1962698464 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNA WIDDOWS President/Owner 561-498-7474 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS7581) |
Enumeration Date | 2007-09-18 |
Last Update Date | 2012-03-21 |