| NPI | 1184998833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY S DI PIETRO President 561-716-7943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS11050) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2025-03-04 |