NPI | 1255729448 |
---|---|
Entity Type | Organization |
Authorized Contact | KARIM HABAYEB President 305-458-7434 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL CH9650) |
Enumeration Date | 2014-12-23 |
Last Update Date | 2014-12-23 |