| NPI | 1801773064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH FORD Corporate Medical Officer 561-400-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| 207R00000X Internal Medicine | |
| 261QM2500X Clinic/Center Medical Specialty | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-09-05 |