| NPI | 1003183930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN A HOUSS Physician/Provider 561-626-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS5563) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2018-02-20 |