| NPI | 1225056120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A ORCASITA-NG Medical Doctor 954-441-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0049312) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |