| NPI | 1780971366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS GONZALEZ Medical Director 561-613-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME87200) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2012-05-14 |