| NPI | 1043659279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA RIVERA-STUMPE Administration Assistance 561-368-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL me79854) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2024-03-27 |