| NPI | 1588272868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA A WHALEN Medical Administrator 561-288-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |