| NPI | 1316808827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIN SI THU Owner 561-484-4136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-11-24 |