| NPI | 1659762235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL SCHUSTER Medical Doctor 561-368-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL me79854) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |