| NPI | 1831712801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS POVEDA Manager 561-317-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2025-05-04 |