| NPI | 1932290749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C MORAES Owner 561-883-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS7601) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-09-18 |