Registry details
Type
Organization
Primary specialty
Family Medicine, Adult Medicine
Enumerated
Dec 17, 2019
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 309 CORNELL DR | Lake Worth Beach, FL 33460-6207 | 718-490-4293 |
| LOCATION | 309 CORNELL DR | Lake Worth Beach, FL 33460-6207 | 718-490-4293 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.