| NPI | 1487158929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI WATERMAN Administrator 561-308-8086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OS5237) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-21 |