| NPI | 1215123286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY SHEILA MARIKA Physician 954-349-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS0005508) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |