| NPI | 1063920569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DUNCAN Director 786-284-6385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 9178816) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |