| NPI | 1225611460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALIE BASTIEN-MONTPEIROUS Physician/Owner 561-708-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |