| NPI | 1316283260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL PROVENZANO President 561-736-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 51311) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |