| NPI | 1588787337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S RONDON Medical Doctor 561-694-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME052020) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0065104) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |