| NPI | 1053726612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALDO A CALONJE Physician / Owner 954-718-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME95141) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-01-13 |