| NPI | 1184906729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR BAILEY Medical Director 305-860-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL OS 9465) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |