| NPI | 1003551383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE ALHEMOVICH Physician Co Owner 321-848-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |