| NPI | 1053620054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSHFEKA MOIZ GOLAWALA Mgr 561-703-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME103852) |
| Enumeration Date | 2010-09-25 |
| Last Update Date | 2026-04-02 |