| NPI | 1306193495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUES H GUITEAU Md 561-842-0749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2013-05-08 |