| NPI | 1093090706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK FENELUS Owner 561-368-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL CH 8094) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |