| NPI | 1366652711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA L CARABALLO Bookkeeper 561-746-9404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME40299) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |