| NPI | 1184115263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNIKA RENEE JACKSON President/Office Manager 305-705-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME37656) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |