| NPI | 1265971659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE DENISE NUNEZ Owner 561-277-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME126589) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |