| NPI | 1639365182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENEDICTO SANPEDRO Doctor 561-967-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME29312) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 207Q00000X Family Medicine (Licence: FL ARNP733712) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2010-09-07 |