| NPI | 1205295821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD COLES President 954-593-5524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL PA9104805) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty (Licence: FL AP1506) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |