| NPI | 1982899472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK WILLIAM BANDEL President 305-933-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME68133) |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2007-09-08 |