| NPI | 1215120639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJATHA RAMAMURTHY Owner 561-637-3612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME84067) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-11-14 |