| NPI | 1215241252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JANET HALL President 305-931-6153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: FL OS4738) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-12-01 |