| NPI | 1902104086 |
|---|---|
| Other Name | PCP OF LAKE WORTH |
| Entity Type | Organization |
| Authorized Contact | PETER J ANZALONE Director Of Payer Relations 954-318-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |