| NPI | 1841632106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY NELSON Manager 561-804-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS11899) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |