| NPI | 1740608801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY L FULLER A RN P 561-853-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 2602122) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |