| NPI | 1679713838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS BONNEAU President 954-986-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |