| NPI | 1750823100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERVI GANESH BALUYOT Owner 561-732-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME129154) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |