| NPI | 1083854475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMA V LOPEZ Physician 561-745-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0073832) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2014-07-03 |