| NPI | 1316373863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEMI MADERA Clinical Administrator Assistant 954-532-6418 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |