| NPI | 1225179450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA K SMITH Owner 561-622-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2021-03-31 |