| NPI | 1992067193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN CLAUDE DUBOIS Physician/Owner 954-783-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0053632) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2015-11-18 |