| NPI | 1396780185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIELA CRUZ President 561-429-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208VP0000X |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2009-10-01 |