| NPI | 1720751142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA STIELER Credentialer 561-432-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-07-30 |