| NPI | 1598795270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D CHIDESTER Officer 561-355-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME52189) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-07-09 |