| NPI | 1700956323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH ROBERT EASTRIDGE Physician President 561-622-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME22718) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-08-03 |