| NPI | 1053930107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIKENSON JESTINE Manager 561-713-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |