| NPI | 1871743062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK I NEWCOMER Physician 561-798-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: FL ME0048252) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2014-04-07 |