| NPI | 1972906139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN SUAREZ Billing Manager 305-251-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0021620) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |