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 |