| NPI | 1093012049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRUDENT MARCELIN President 954-557-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL L11000021999) |
| Enumeration Date | 2011-02-26 |
| Last Update Date | 2011-07-20 |