| NPI | 1689726259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNE SHANE STITSKY Owner President 561-779-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS0007755) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-04-26 |