| NPI | 1972968089 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | WILLIAM ROBERT GEORGE President 561-394-0040  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL 17967)  | 
| Enumeration Date | 2015-12-17 | 
| Last Update Date | 2015-12-17 |