| NPI | 1528350832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R WATREN President 561-655-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME63366) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-10-06 |