| NPI | 1215127980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHHATRAPAL SINGH THAKUR Md/Owner 954-978-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME82319) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: FL ME96066) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-10-10 |