| NPI | 1194124693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZUBUEZE C IKEJIANI Owner 9542-743-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: FL PH28410) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |