| NPI | 1881432839 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ISIAH COLES CEO 561-502-3978  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care | 
| Enumeration Date | 2024-07-16 | 
| Last Update Date | 2025-02-18 |