| NPI | 1235841552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA M PIERCE Corporate O Ps Manager 561-473-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |