| NPI | 1134740061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALEREY BARTHELEMY Credential Manager 561-774-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-07 |