| NPI | 1760240709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN DEJEAN Office Manager 561-755-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-04-12 |