| NPI | 1801479878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATACHA ETIENNE Vice President 561-410-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-05-10 |