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 |