| NPI | 1760367452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M QADIR Owner 561-688-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-10-16 |