| NPI | 1548545601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE MICHELLE CARNER President 561-843-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL P11000009589) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2012-09-06 |