| NPI | 1265620652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN LESLIE MELOTEK President 561-750-7509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME0056918) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2009-06-08 |