| NPI | 1043402589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT G AYALA Family Physician 561-368-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL me83667) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2013-06-26 |