| NPI | 1144534199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON REBELLO Authorized Official 561-637-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2021-04-21 |