| NPI | 1114113065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L MACIA Medical Director 561-732-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME72263) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2022-11-15 |