| NPI | 1104988401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUFUS JOSEPH President 954-436-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME52086) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |