| NPI | 1972809093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER C MBAKWEM Md, Owner 863-644-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME92808) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |