| NPI | 1376814707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY J CACCIAGUIDA MD PA Doctor/Owner 561-832-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL ME019768) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-10-23 |