| NPI | 1912088873 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | JOSE R PEREZ President 561-882-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |