| NPI | 1184884918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALIA MORENO Office Manager 954-433-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME73747) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |