| NPI | 1790183226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUSA MICHAEL HANNA Physician 561-659-6023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS6942) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |