| NPI | 1013209980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHEED KALLOO CEO 561-845-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0075961) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |