| NPI | 1104221910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD T JAVED Ownder 561-339-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL me0071079) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2015-10-29 |