| NPI | 1487898177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA ULLOA Office Manager 561-627-6243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0038283) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |