| NPI | 1992990600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES PRESLEY MAGGARD Office Manager 561-310-7407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |