| NPI | 1083088579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN ROBERT CHARLOT Owner 954-526-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME 79727) | |
| 111N00000X Chiropractor | |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2017-03-17 |