| NPI | 1942641667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMARIS PEREZ Owner 561-753-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207N00000X Dermatology | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |