| NPI | 1073223442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KOROGODSKY Chief Administrative Officer 561-444-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |