| NPI | 1366258022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCINDA ADELSON MUSCADIN Member Manager 561-288-2517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-12-07 |
| Last Update Date | 2024-12-07 |