| NPI | 1619765989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL O NUNEZ Medical Director, President 561-964-4577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |