| NPI | 1003938374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA BARANOVICH Manager 305-945-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME76939) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2020-08-22 |