| NPI | 1902572753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN RICHARD ETIENNE Medical Director 561-738-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2023-11-01 |