| NPI | 1699668194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN WINGATE Owner 561-827-7409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QS0132X Clinic/Center, Ophthalmologic Surgery | |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |