| NPI | 1356577241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE DORSEY Office Manager 561-506-4102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: FL OS1256) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: FL OS9489) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2010-02-08 |