| NPI | 1316345853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG PROKOS Medical Doctor 561-746-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME32958) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |