| NPI | 1194348052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN SHARP President 954-289-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-06-02 |