| NPI | 1063956761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BOWMAN Owner 561-623-7642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL 5081294223201) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: FL 5081294223201) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |