| NPI | 1700219888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY E. DEJESUS President 561-279-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME64301) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |