| NPI | 1144181603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLINE J BLANC President 561-317-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2025-11-22 |
| Last Update Date | 2025-11-22 |