| NPI | 1245577238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA K DANIELSON CEO 561-206-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-04-03 |