| NPI | 1063763944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GERHARDT Owner/President 561-234-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-11-20 |