| NPI | 1447458658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LEONETTI Physician Assistant 561-439-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL 208600000X) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-08-22 |