NPI | 1992036255 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY MARIE EKLUND President 305-270-2229 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0033220) |
Enumeration Date | 2010-01-26 |
Last Update Date | 2010-01-26 |