| NPI | 1629541859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLINE CLERGE Director 561-296-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 111N00000X Chiropractor |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-25 |