| NPI | 1447112933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE POSLAIKO Office Manager 561-315-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2025-12-02 |