| NPI | 1740460682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A ALVAREZ Manager 561-477-2862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME98571) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME98037) |
| 208000000X Pediatrics (Licence: FL ME97494) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-08-05 |