| NPI | 1558716811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA FORD President 561-633-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9101814) |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2016-04-24 |