| NPI | 1033169107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KATHERINE GAMMACK-CLARK Office Manager 561-840-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME75515) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-09-14 |