| NPI | 1770677346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH NOAH WOLINER Owner 561-620-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME80412) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |