| NPI | 1225352594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY GORDON BOYER President 561-968-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 0056169) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |