| NPI | 1134535925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE SCOTT STEIN Managing Member 561-929-9263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 112386) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME83014) | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2022-07-21 |