| NPI | 1023210853 |
|---|---|
| Other Name | RYAN WHITE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL F GERVASI President & CEO 561-844-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2016-06-17 |