| NPI | 1245418326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON V WARD Owner 305-294-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: FL ME0081114) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2021-05-11 |