| NPI | 1013208172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J MCCORMICK President 305-285-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS1619) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |