| NPI | 1184867137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL J. MORA President 954-437-0345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME71747) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |