| NPI | 1912456963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GROSS Authoried Official 561-939-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME80235) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |