| NPI | 1265822332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PAKULA President 954-260-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL AP3614) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |