| NPI | 1306261680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOULTON KEANE Medical Doctor 954-530-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME42167) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |