| NPI | 1194646604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SHANNON HARRIS-MORRISON Owner 561-729-9359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251B00000X Case Management |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2026-07-22 |
| Last Update Date | 2026-07-22 |