| NPI | 1902102734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS GONZALEZ Medical Director 561-624-5347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036.127046) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |