| NPI | 1043930126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE ROSADO Business Office Manager 954-904-0726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2025-02-03 |