| NPI | 1043251994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA SURI President 786-586-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL 9326) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME 39744) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-05-09 |