| NPI | 1235394222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYMAN F ABDOU Owner 954-484-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME95552) |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2008-09-25 |