| NPI | 1093717464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK SICLARI CEO 305-576-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2020-09-28 |