| NPI | 1497964407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DODGE Am 561-324-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL OS9152) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL OS9152) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-11-16 |