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 |