| NPI | 1104189091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGO VICTOR BEJAR President 954-923-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0042889) |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2012-06-17 |