| NPI | 1235554973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCNER NELSON President 305-318-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 107333) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-04-30 |