| NPI | 1730397555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN LAVENTURE RENELIEN Owner 561-414-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME86189) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-11-11 |