| NPI | 1174901680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE ROBINSON Partner 772-245-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: FL SA12968) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2019-01-29 |