| NPI | 1063687507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL FORREST Physician 954-583-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0062996) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |