| NPI | 1700697422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERLYN JESTINE CEO 561-880-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-03-08 |