| NPI | 1992045140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ZELIKOVSKY CEO/ Operating Physician 772-678-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME100234) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2014-06-11 |