NPI | 1023388915 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS SANCHEZ Medical Director 954-239-7179 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL OS7598) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2012-03-27 |