| NPI | 1982001277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BALDA President/Physician 561-557-1767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME99506) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |