NPI | 1013382423 |
---|---|
Entity Type | Organization |
Authorized Contact | BRODES H HARTLEY President/CEO 305-253-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-12-10 |
Last Update Date | 2015-12-10 |