| NPI | 1598360729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN IGNATIUS REBELLO Authorized Official 561-637-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2023-02-22 |