| NPI | 1124590757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANN BASILE Owner 561-475-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2023-01-30 |