NPI | 1225209919 |
---|---|
Entity Type | Organization |
Authorized Contact | NIERMALA WASHINGTON President 954288-448-1481 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME90568) |
Enumeration Date | 2008-03-20 |
Last Update Date | 2016-01-13 |