Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-10-03
- Last updated
- 2020-08-22
Specialties
Licenses
- License FL
- dn14999
Location
- Practice location
- 399 TEQUESTA DR., SUITE 103
- City
- TEQUESTA FL
- Postal code
- 334693087
- Phone
- 561-746-7600
Organization contact
- Name
- JOHN BRODNER
- Title
- President
- Phone
- 5617467600
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.