| NPI | 1245633619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL G WHETSELL Medical Director 305-442-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME116586) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |