| NPI | 1558797506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALON S DEVINE CEO 561-613-7359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2014-06-25 |