| NPI | 1124176185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYREE NATASHA COOKE Certified Medical Assistant 305-535-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-06-17 |