| NPI | 1275333189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE YOUAKIM Director 954-335-7633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |