| NPI | 1447096417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JOSEPH Provider, Manager 561-573-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 208D00000X General Practice | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-15 |