| NPI | 1154723823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KELNER Medical Director 305-974-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL OS12303) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |