| NPI | 1043625718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN PARKHURST Practice Administrator 561-822-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 3201662) |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2014-06-21 |