| NPI | 1316369531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY WATERS CEO 561-678-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2024-05-24 |