| NPI | 1215262233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JACOB SMITH Managing Member 954-969-9903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL L09000083502) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2011-07-04 |