| NPI | 1376116939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED CINTRON Credentialing Specialist 561-235-7683 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-09-27 |