NPI | 1184775652 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT DAREN President 954-755-4880 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS8245) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2007-01-13 |
Last Update Date | 2014-08-20 |